Surgical technical evidence review for gynecologic surgery conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery

Kalogera, Eleftheria; Nelson, Gregg; Liu, Jessica; Hu, Q. Lina; Ko, Clifford Y.; Wick, Elizabeth C.; Dowdy, Sean C.

doi:10.1016/j.ajog.2018.07.014

Cited by 25 publications

(10 citation statements)

References 95 publications

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“…Prehabilitation in oncology describes the systematic process of improving the physical, psychosocial, and nutritional status of patients between diagnosis and posttreatment recovery to increase the ability to cope with the upcoming physiological stress of the specific cancer-related therapy [10]. Presurgical training interventions in cancer patients have been the most frequently cited programs for prehabilitation, showing efficacy in reducing postoperative stress and complications, duration of hospital stay, and improving clinical outcomes by optimizing cardiopulmonary reserve prior to surgery [11][12][13]. Neoadjuvant therapy strategies have been shown to improve resectability of previously inoperable cancers by reducing the complexity of operations, e.g., by successfully diminishing tumor tissue [14].…”

Section: Introductionmentioning

confidence: 99%

High-intensity interval training in the prehabilitation of cancer patients—a systematic review and meta-analysis

Palma

Hasenoehrl

Jordakieva

et al. 2020

Support Care Cancer

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Purpose To evaluate the impact of high-intensity interval training (HIIT) on health-related outcome parameters in the prehabilitation of patients diagnosed with cancer. Methods A systematic review and meta-analysis of comparative studies on HIIT in cancer prehabilitation conducted by screening standard databases from their inception to March 30, 2020. Outcomes of interest included cardiorespiratory fitness, feasibility, safety, clinical, and patient-reported outcomes. Results Of the 855 identified studies, 8 articles met the inclusion criteria (7 randomized, 1 non-randomized controlled trial) with a total of 896 patients. The study protocols were heterogeneous, but the methodological quality ranged from good to high according to PEDro scale. Meta-analysis revealed a significant improvement of peak oxygen consumption (VO2peak) achieved with HIIT compared to usual care. Furthermore, HIIT was feasible and safe, showing low risk of adverse events and positive effects on health-related outcomes in prehabilitative settings. Conclusion In the phase of prehabilitation, HIIT has potential health benefits in patients diagnosed with cancer and is feasible and safe to perform. Nonetheless, larger randomized controlled trials focusing on long-term effects (such as cancer recurrence or survival rates) are missing, to underline the potential relevance of HIIT for cancer patients.

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Section: Introductionmentioning

confidence: 99%

High-intensity interval training in the prehabilitation of cancer patients—a systematic review and meta-analysis

Palma

Hasenoehrl

Jordakieva

et al. 2020

Support Care Cancer

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“…vomiting prophylaxis, antibiotic prophylaxis, fluid balance management, maintenance of body temperature at normal values, reduction of drain use and transition to early nutrition are feasible with a high level of evidence. Applications with moderate evidence value were listed as carbohydrate loading, avoidance of bowel preparation, use of prokinetics, and early mobilization [50]. In another study evaluating fifty studies examining ERAS in gynecological surgery; It was stated that it is important to provide the patient with preoperative consultancy, not to make bowel preparation, multimodal approach in pain management, fluid balance management, preferring minimally invasive surgery as much as possible, and early mobilization and nutrition.…”

Section: Discussionmentioning

confidence: 99%

Enhanced recovery after gynecologic surgery: review of the literature

İbanoğlu¹,

Kinay²,

Üstün³

2022

Clin. Exp. Obstet. Gynecol.

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Objective: Enhanced Recovery After Surgery (ERAS) includes practices aimed at providing rapid recovery by standardizing pre-and post-surgical care in patients undergoing colon surgery and reducing the metabolic stress response. The ERAS program is a systematic application that includes surgeons, anesthetists, nurses, and assistant healthcare professionals in the care process and has been successfully implemented in the international arena. Studies on ERAS protocols show that this system can be actively applied in different surgical areas. Mechanism: This review article discusses the main reviews and recommendations of the medical community on ERAS and valuable publications in the literature. Findings in brief: Guidelines of the ERAS Society for peri-operative care in gynecological procedures were first published in 2016 and updated in 2019. ERAS Society recommended 12 items for pre-and intra-operative care and 10 post-operative care items. The objectives of these applications are to provide patient education and consultancy services before surgery, to stop oral intake shortly before surgery and to start fast nutrition after surgery, to maintain a balanced body temperature and fluid level to maintain normal physiology, to increase mobilization, to provide pain control with painkillers, prophylaxis of nausea and vomiting and reduction of unnecessary or prolonged use of catheters. Conclusions: Studies suggest that increased compliance with ERAS agents in colon surgery has a positive effect on operation results, but more studies are needed to reach this affirmation in gynecological surgery.

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“…Recently, there has been renewed interest in enhanced recovery after surgery (Kalogera et al, 2018; Nelson, Altman, Nick, Meyer, Ramirez, Achtari, Antrobus, et al, 2016; Nelson, Altman, Nick, Meyer, Ramirez, Achtari, & Dowdy, 2016; Nelson et al, 2019). Our findings and the findings from previous studies suggest that early Foley catheter removal may improve patient comfort, enhance postoperative recovery, and potentially improve cost effectiveness of treatment.…”

Section: Discussionmentioning

confidence: 99%

Early and Standard Urinary Catheter Removal After Gynecological Surgery for Benign Lesions: A Quasi-Experimental Study

et al. 2021

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Patients undergoing gynecological surgery commonly receive indwelling transurethral Foley catheters, however duration of catheterization is associated with risk of urinary tract infections and other adverse effects. Early removal of catheters is encouraged, however optimal timing postsurgery remains unclear. This quasi-experimental study compared outcomes for women after removal of a Foley catheter at two different times following benign gynecological surgery. Participants received either early catheter removal, within 6 hours of surgery ( n = 38) or standard catheter removal, within 12 to 24 hours of surgery ( n = 45). There were no significant differences in outcomes for discomfort scores or re-catheterization rates between groups. However, the early removal group had a significantly shorter time to first ambulation and shorter hospital stays. Early removal of Foley catheters in patients who underwent gynecological surgery did not increase adverse events. Early removal of catheters after gynecological surgery may decrease re-catheterization rates and increase patient satisfaction.

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Surgical technical evidence review for gynecologic surgery conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery

Abstract: Evidence and existing guidelines support 29 protocol elements for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery in gynecologic surgery.

Cited by 25 publications

References 95 publications

High-intensity interval training in the prehabilitation of cancer patients—a systematic review and meta-analysis

High-intensity interval training in the prehabilitation of cancer patients—a systematic review and meta-analysis

Enhanced recovery after gynecologic surgery: review of the literature

Early and Standard Urinary Catheter Removal After Gynecological Surgery for Benign Lesions: A Quasi-Experimental Study

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